Endometrial ablation offers an effective alternative to hysterectomy for patients suffering from heavy or prolonged bleeding during their period. It is often chosen when other medical treatments have failed or is otherwise undesirable. This procedure involves the removal of the lining of the uterus, which is the source of the bleeding.
Most women feel that endometrial ablation relieves the problem with their period. Up to 90% of women who have this procedure are satisfied with the results. After the procedure, the women who were satisfied with it reported lighter periods or normal periods. Some women said that their periods stopped completely after endometrial ablation.

Endometrial ablation refers to the removal and destruction (ablation) of the lining of the uterus also known as endometrium. It is an alternative to hysterectomy and is used to reduce heavy menstrual bleeding as well as pain associated with menstrual cycles While results may vary depending on the approach used and the underlining pathology causing the irregular bleeding endometrial ablation is a safe and minimally invasive alternative to hysterectomy.

 

Who will benefit from this procedure?

• Women with heavy bleeding i.e. needing more than 10 pads a day or (pads and tampon)
• Women whose cycles lasting more than 6 or 7 days
• Women who are severely anemic because of their heavy bleeding
• Women who have bleeding disorders and are poor candidates for major procedures.
• Women who have to stay home or miss work because of their heavy bleeding
• Women who tried medication to reduce the length or severity of their cycles but were not successful.
• Women who have very severe cramps with no other reasons for their symptoms accept the amount of bleeding.

 

This procedure could be done in our Minimally invasive center under neuroleptic (twighlight sleep) as an Outpatient procedure or At one of
Dr Yacoub’s offices. No Hospitalization is needed and patients are able to return to work and normal activities within 48 to 73 hours.


Watch video of endometrium before ablation:

Watch video of endometrium after ablation:

 

 

Procedure:
Dr Yacoub currently uses the Novasure and ThermachoiceBalloon ablation both in office and as outpatient.
The Thermachoice™ balloon ablation
WATCH ANIMATION OF BALLOON ABLATION

 

 

Was one of the first to get FDA approval , it involves the use of a Balloon that is placed


In the uterine cavity, this balloon is then filled with hot water and the heat within the balloon will lead to the destruction of the endometrial cavity.


Another successful method used by Dr Yacoub is Novasure System™

 

Novasure System

		A slender wand is introduced into the uterine cavity.
		A triangular mesh device is deployed through the wand where it expands to conform to the uterine cavity.
		Electrical energy is then delivered into the uterus on average for approximately 90 seconds.
		The triangular mesh device is then retracted back into the wand and removed from the uterus.

Recovery:
 Women normally recover fast from these procedures. Some cramping is normal
And typically a clear to grayish discharge can occur.
In some patients the discharge might last for a couple of weeks.
The subsequent cycles are significantly reduced in flow and associated pains

 

REGARDLESS OF THE PROCEDURES USED
IT IS NOT FOR YOU  if you like to preserve your fertility
Pregnancy after this procedure is not advised and many times a form permanent sterilization is performed at the same time.


Preparation for office procedure
 Please refer to office procedures guidelines


Risks of endometrial ablation
While the risks of this procedure will depend on the method used these involve
1.Infection
2. Perforation of the uterus with potential trauma to adjacent organs (bowel and bladder) in certain rare cases. VERY RARE
3. Heat Damage to bowel or bladder from the instruments used.  VERY RARE


Failure of endometrial ablation
A small percentage of women having an ablation could still need a hysterectomy.
The most common reasons for failure of this procedure failure being defined as continued heavy flow include the presence of adenomyosis and multiple fibroids.

FOR MORE INFORMATION visit www.novasure.com